Unmonitored cycle with leftover IVF meds?

[Anonymous]

I would not do it but I was at risk for OHSS, and in fact got it on my last cycle. I suppose if you have lower reserve you wouldn't have to worry about that as much.

[Anonymous]

Anonymous wrote:I would not do it but I was at risk for OHSS, and in fact got it on my last cycle. I suppose if you have lower reserve you wouldn't have to worry about that as much.

You do much lower doses than with a regular IVF. 50-75 units of follistim per day for example or 1 vial of menopur. Compare that to the doses that led to your OHSS.

[Anonymous]

Still having had to go to the hospital, get a paracentesis and multiple bags of IV fluid, it's not something I would do on my own. I wasn't on a super high dose protocol, our issue was MFI.

[Anonymous]

^ and hence doing it on our own would be pointless since we needed the sperm delivery

[Anonymous]

Anonymous wrote:I'm doing it right now with left over menopur meds. We've just had our 4th failed ivf. That's $40 thousand now down the drain! I have the drugs, I've paid for them, I'm monitoring my cycle so we'll know when we are ovulating and try naturally! Why not. Good luck to you love, I say go for it. You know your body. When you really want a baby (or multiples!) you'll try anything and everything right? I'm sure there are a lot of women who have done this!!

I’m doing it too. Same story. I’m using a lower dose bc it’s what I have left. I am using OPKs and we shall see. I know it’s crazy. But I feel like we’re just increasing the chances. First full IVF cycle i had 4 follicles 3 retrieved 1 transferred aand failed and FET failed last month. I have to wait a whole cycle so yea. I’m going rouge.

[Anonymous]

I have done it, but I have DOR and know that I never overstimulate. Plus MF, so the chances are very low.

[Anonymous]

Ugh, as someone who works in clinical research this is a bad idea. But admittedly I have thought about it because I did IUIs with injectables prior to IVF, know my dose for the IUIs (it's so low), and know that there's almost zero chance I'd end up with multiples or OHSS considering that didn't happen on the highest doses for IVF (yay DOR). I mean if you have DOR, know your data from past cycles, and can get lab monitoring on your own, it's pretty straightforward. But ultimately doing the injections without medical supervision just because you can is not great because there is always a chance things can go wrong and you won't have any medical support.

[Anonymous]

Anonymous wrote:Ugh, as someone who works in clinical research this is a bad idea. But admittedly I have thought about it because I did IUIs with injectables prior to IVF, know my dose for the IUIs (it's so low), and know that there's almost zero chance I'd end up with multiples or OHSS considering that didn't happen on the highest doses for IVF (yay DOR). I mean if you have DOR, know your data from past cycles, and can get lab monitoring on your own, it's pretty straightforward. But ultimately doing the injections without medical supervision just because you can is not great because there is always a chance things can go wrong and you won't have any medical support.

I've done this. What will go wrong that she has no support? There is always ob/gyn or ER if something (what?) goes wrong internally. But honestly, if she is doing lower-ish stim meds doses, and bloodwork monitoring, it's not that scary. If you work in clinical research you should know that there is literature on hormone levels, so it's easy to look up (ie FSH reading per mature follicle close to ovulation).

[Anonymous]

Anonymous wrote:Still having had to go to the hospital, get a paracentesis and multiple bags of IV fluid, it's not something I would do on my own. I wasn't on a super high dose protocol, our issue was MFI.

So you're not infertile, your husband is, right? So stimulating you of course resulted in OSSS. Your RE is a negligent dumbass, but this has nothing to do with OP's question.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Still having had to go to the hospital, get a paracentesis and multiple bags of IV fluid, it's not something I would do on my own. I wasn't on a super high dose protocol, our issue was MFI.

So you're not infertile, your husband is, right? So stimulating you of course resulted in OSSS. Your RE is a negligent dumbass, but this has nothing to do with OP's question.

NP here. Well that's not true or fair. Yeesh. A normal dose protocol for IVF for MFI is absolutely standard care. You still need to maximize the eggs retrieved because MFI impacts fertilization and blast rates. There's no reason to think PP was on an inappropriate protocol for her.

[Anonymous]

personally, since it seems like OPs real issue is euploid embryos, I wouldn't risk it. if you succeed, you'll probably miscarry or need to TFMR.

[Anonymous]

I wouldn't use leftover meds completely alone, but I will share my related story of using leftover meds during IVF.

When I was at Shady Grove, they were terrible about monitoring my cycles. I was also overweight and an extreme "low responder." I did not have PCOS and was very clearly not in danger of OHSS.

For my final cycle there, I had leftover meds from a previous cycle.

After a few bad days of stimulation that were not monitored by my assigned MD, Widra, who was on vacation, another doctor stepped in and told me I should cancel. I said I would wait.

Meanwhile I boosted the stim dose greatly using the leftover meds. I was flying blind there due to desperation.

Then I gave myself two doses of the trigger shot of HCG, after reading studies suggesting should be dosed based on weight. Later more studies were published that confirmed this.

I was relieved that it was the first cycle with no immature eggs. I became pregnant & delivered a healthy baby.

[Anonymous]

Anonymous wrote:I wouldn't use leftover meds completely alone, but I will share my related story of using leftover meds during IVF.

When I was at Shady Grove, they were terrible about monitoring my cycles. I was also overweight and an extreme "low responder." I did not have PCOS and was very clearly not in danger of OHSS.

For my final cycle there, I had leftover meds from a previous cycle.

After a few bad days of stimulation that were not monitored by my assigned MD, Widra, who was on vacation, another doctor stepped in and told me I should cancel. I said I would wait.

Meanwhile I boosted the stim dose greatly using the leftover meds. I was flying blind there due to desperation.

Then I gave myself two doses of the trigger shot of HCG, after reading studies suggesting should be dosed based on weight. Later more studies were published that confirmed this.

I was relieved that it was the first cycle with no immature eggs. I became pregnant & delivered a healthy baby.

How overweight were you? Shady grove told me I was too fat to have children and that they only treated those who were not overweight. I went to another clinic and have had 2 children.

[Anonymous]

I was very overweight when I started. And old. I think they have become stricter over the years regarding weight from what I have seen when looking at this forum. I had a number of health issues not related to weight - but I was metabolically normal and had no heart, blood sugar issues. I also lost weight while I went through IVF but was still significantly overweight during my last cycle. I gained weight once pregnant but had a perfectly normal pregnancy in terms of blood pressure, blood sugar etc.

[Anonymous]

Op - are you the woman from the 2ww thread a few months ago that used their meds to trap their husband in an unwanted pregnancy he was clear he didn’t want and then miscarried?